| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,508 |
6,298 |
$251K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,149 |
4,269 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
364 |
323 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
217 |
171 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
410 |
346 |
$3K |
| E0570 |
Nebulizer, with compressor |
212 |
180 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
32 |
31 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
33 |
30 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
75 |
69 |
$926.23 |
| A7030 |
Full face mask used with positive airway pressure device, each |
15 |
13 |
$676.79 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
167 |
158 |
$552.55 |
| A7037 |
Tubing used with positive airway pressure device |
14 |
12 |
$67.80 |